Head and Neck Neoplasms Clinical Trial
Official title:
Phase I, Dose-escalating Study to Evaluate Safety and Tolerance of Amphinex Based Photochemical Internalisation (PCI) of Bleomycin in Patients With Local Recurrence or Advanced/Metastatic, Cutaneous or Sub-cutaneous Malignancies
This study is an open, non- randomized, phase I, dose-escalating study to evaluate the safety and tolerance of Amphinex based PCI of bleomycin in patients with local recurrent or advanced/metastatic, cutaneous or sub-cutaneous malignancies.
Eligible patients will be included in cohorts of 3 patients. The initial starting dose for
Amphinex will be given 4 days prior to the fixed dose of bleomycin administered by
intravenous infusion. The illumination, with red light (laser 652 nm), to the tumour surface
and a margin of 2-3 mm outside the tumour surface, will be performed after bleomycin
administration.
There will be no comparative procedure in this study. Dose escalation will proceed according
to a modification of Simon's accelerated titration design. The number of patients recruited
depends on the DLT experienced. A total of 6 patients will be included at each dose level if
no more than 1 patient experiences DLT.
Additional cohorts may be added pending the outcome of the previous cohorts and discussions
between the investigators and the Sponsor. The primary goal of the study is to assess the
safety and tolerance of the Amphinex and determine the maximal tolerated dose (MTD) of
Amphinex as a PCI therapy in combination with bleomycin treatment.
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